МЕХАНИЧЕСКИЕ СПОСОБЫ ТРОМБОПРОФИЛАКТИКИ И ЛЕЧЕНИЯ ХРОНИЧЕСКОЙ ВЕНОЗНОЙ НЕДОСТАТОЧНОСТИ: АКЦЕНТ – КОМПРЕССИОННАЯ ТЕРАПИЯ

В представленном обзоре рассмотрены современное состояние и исторические аспекты использования компрессионного лечения для проведения профилактики тромбоэмболических осложнений и лечения симптомов хронической венозной недостаточности, связанных с хроническими заболеваниями вен. Обсуждаются патогенетические аспекты терапии градуированной компрессией, основы использования аппаратных механических средств профилактики и лечения, основы воздействия этих методов на состояние венозного возврата, движения тканевой жидкости. Акцентируется внимание на  доказательствах эффективности компрессионного лечения.

1. Litter J. Thromboembolism; its prophylaxis and medical treatment; recent advances. Med Clin North Am, 1952, 36(5): 1309–1321.

2. Lewis CEJr, Antoine J, Mueller C, Talbot W A, Swaroop R, Edwards W S. Elastic compression in the prevention of venous stasis. A critical reevaluation. Am J Surg, 1976, 132(6): 739–743.

3. Arcelus JI, Caprini JA, Hoffman KN, Traverso CI, Hoppensteadt D, Fareed J. Modifications of plasma levels of tissue factor pathway inhibitor and endothelin-1 induced by a reverse Trendelenburg position: influence of elastic compression – preliminary results. J Vasc Surg, 1995, 22(5): 568–572.

4. Agu O, Hamilton G, Baker D. Graduated compression stockings in the prevention of venous thromboembolism. Br J Surg, 1999, 86(8): 992– 1004.

5. Allan A, Williams J T, Bolton J P, Le Quesne L P. The use of graduated compression stockings in the prevention of postoperative deep vein thrombosis. Br J Surg, 1983, 70(3): 172–174.

6. Kakkos SK, Daskalopoulou SS, Daskalopoulos ME, Nicolaides AN, Geroulakos G. Review on the value of graduated elastic compression stockings after deep vein thrombosis. Thromb Haemost, 2006, 96(4): 441–445.

7. Amaragiri SV, Lees TA. Elastic compression stockings for prevention of deep vein thrombosis. Cochrane Database Syst Rev, 2000, (3): CD001484.

8. Allwood MJ. The effect of an increased local pressure gradient on blood flow in the foot. Clin Sci (Lond), 1957, 16(2): 231–239.

9. Chen AH, Frangos SG, Kilaru S, Sumpio BE. Intermittent pneumatic compression devices – physiological mechanisms of action. Eur J Vasc Endovasc Surg, 2001, 21(5): 383–392.

10. Comerota AJ, Chouhan V, Harada RN, Sun L, Hosking J, Veermansunemi R, et al. The fibrinolytic effects of intermittent pneumatic compression: mechanism of enhanced fibrinolysis. Annals of Surgery, 1997, 226(3): 306-13, discussion 313-4.

11. Morris RJ, Woodcock JP. Evidence-based compression: prevention of stasis and deep vein thrombosis. Ann Surg, 2004, 239(2): 162–171.

12. Salzman EW, McManama GP, Shapiro AH et al. Effect of optimization of hemodynamics on fibrinolytic activity and antithrombotic efficacy of external pneumatic calf compression. Ann Surg, 1987, 206(5): 636–641.

13. Proctor MC, Greenfield LJ, Wakefield TW, Zajkowski PJ. A clinical comparison of pneumatic compression devices: the basis for selection. J Vasc Surg, 2001, 34: 459-463.

14. Urbankova J, Quiroz R, Kucher N, Goldhaber SZ. Intermittent pneumatic compression and deep vein thrombosis prevention. A meta-analysis in postoperative patients. Thromb Haemost, 2005, 94(6): 1181–1185.

15. Kakkos SK, Caprini JA, Geroulakos G, Nicolaides AN, Stansby G, Reddy DJ, Ntouvas I. Combined intermittent pneumatic leg compression and pharmacological prophylaxis for prevention of venous thromboembolism. Cochrane Database Syst Rev, 2016 Sep 7, 9: CD005258. Review.

16. Wille-Jørgensen P, Rasmussen MS, Andersen BR, Borly L. Heparins and mechanical methods for thromboprophylaxis in colorectal surgery. Cochrane Database Syst Rev, 2004, 1: CD001217.

17. Griffin M, Nicolaides AN, Bond D, Geroulakos G, Kalodiki E. The efficacy of a new stimulation technology to increase venous flow and preventvenous stasis. Eur J Vasc Endovasc Surg, 2010 Dec, 40(6): 766-71. doi: 10.1016/j.ejvs.2010.06.019. Epub 2010 Jul 22.

18. Dorfa FSA, Drury FA, Sivyer A. A simple way to combat the venous stasis which occurs in the lower limbs during surgical operations. Br J Surg, 1964, 51: 486. doi: 10.1002/ bjs.1800510705.

19. Illingworth CFW, Dick BM. Surgical pathology. 6. London: Churchill, 1949.

20. Doran FS, White M, Drury M. A clinical trial designed to test the relative value of two simple methods of reducing the risk of venous stasis in the lower limbs during surgical operations, the danger of thrombosis, and a subsequent pulmonary embolus, with a survey of the problem. Br J Surg, 1970, 57(1): 20–30. doi: 10.1002/bjs.1800570105.

21. Muñoz FJ, Mismetti P, Poggio R, et al. Clinical outcome of patients with upper-extremity deep vein thrombosis: results from the RIETE Registry. Chest, 2008, 133(1): 143. doi: 10.1378/chest.07-1432.

22. Howie C, Hughes H, Watts AC. Venous thromboembolism associated with hip and knee replacement over a ten-year period: a population-based study. J Bone Joint Surg Br, 2005, 87: 1675–1680. doi: 10.1302/0301-620X.87B12.16298.

23. Nicolaides AN, Kakkar VV, Field ES, Fish P Optimal electrical stimulus for prevention of deep vein thrombosis. Br Med J, 1972 Sep 23, 3(5829): 756-8.

24. Broderick BJ, O’Briain DE, Breen PP, Kearns SR, Olaighin G A pilot evaluation of a neuromuscular electrical stimulation (NMES) based methodology for the prevention of venous stasis during bed rest. Med Eng Phys, 2010 May, 32(4): 349-55.

25. Kopetzky CD. Combined compression and electric stimulation therapy. Wien Med Wochenschr, 1994, 144(10-11): 238-242.

26. Schulz C, Engelmann B, Massberg S Crossroads of coagulation and innate immunity: the case of deep vein thrombosis. J Thromb Haemost, 2013 Jun, 11(Suppl 1): 233-2.

27. Izumi M, Ikeuchi M, Aso K, Sugimura N, Kamimoto Y, Mitani T, Ueta T, Sato T, Yokoyama M, Sugiura T, Tani T Less deep vein thrombosis due to transcutaneous fibular nerve stimulation in total knee arthroplasty: a randomized controlled trial. Knee Surg Sports Traumatol Arthrosc, 2015 Nov, 23(11): 3317-23.

28. Goyal A, Arora S, Batra S, Sharma R, Mittal MK, Sharma VK Role of calf muscle stimulation in the prevention of DVT in Indian patients undergoing surgeries for fractures around the hip. Indian J Orthop, 2012 Sep, 46(5): 532-541.

29. Velmahos GC, Petrone P, Chan LS, Hanks SE, Brown CV, Demetriades D Electrostimulation for the prevention of deep venous thrombosis in patients with major trauma: a prospective randomized study. Surgery, 2005 May, 137(5): 493-8.

30. Лобастов К.В., Бармотин Н.А., Баринов В.Е., Оболенский В.Н., Асратян С.А., Лаберко Л.А., Бояринцев В.В. Гемодинамическая и клиническая эффективность электро-мышечной стимуляции венозного оттока в профилактике послеоперационных венозных тромбоэмболических осложнений. Ангиология и сосудистая хирургия, 2013, 19(2): 84-91.

31. Griffin M, Nicolaides AN, Bond D, Geroulakos G, Kalodiki E. The efficacy of a new stimulation technology to increase venous flow and prevent venous stasis. Eur J Vasc Endovasc Surg, 2010 Dec, 40(6): 766-771.

32. Merli GJ, Herbison GJ, Ditunno JF, Weitz HH, Henzes JH, Park CH, Jaweed MM. Deep vein thrombosis: prophylaxis in acute spinal cord injured patients. Arch Phys Med Rehabil, 1988 Sep, 69(9): 661-664.

33. Aito S, Pieri A, D’Andrea M, Marcelli F, Cominelli E. Primary prevention of deep venous thrombosis and pulmonary embolism in acute spinal cord injured patients. Spinal Cord. 2002 Jun;40(6):300-303.

34. Tucker A, Maass A, Bain D, Chen LH, Azzam M, Dawson H, Johnston A Augmentation of venous, arterial and microvascular blood supply in the leg by isometric neuromuscular stimulation via the peroneal nerve. Int J Angiol, 2010 Spring, 19(1): e31-7.

35. Polak A, Franek A, Taradaj J High-Voltage Pulsed Current Electrical Stimulation in Wound Treatment. Adv Wound Care (New Rochelle), 2014 Feb 1, 3(2): 104-117.

36. Kawasaki L, Mushahwar VK, Ho C, Dukelow SP, Chan LL, Chan KM The mechanisms and evidence of efficacy of electrical stimulation for healing of pressure ulcer: a systematic review. Wound Repair Regen, 2014 Mar-Apr, 22(2): 161-173.

37. Schneck MJ Venous thromboembolism in neurologic disease. Handb Clin Neurol, 2014, 119: 289-304.

38. Gloviczki P et al. Society for Vascular Surgery, American Venous Forum. The care of patients with varicose veins and associated chronic venous diseases: clinical practice guidelines of the Society for Vascular Surgery and the American Venous Forum. J Vasc Surg, 2011 May, 53(5 Suppl): 2S-48S. doi: 10.1016/j.jvs.2011.01.079.

39. Российские клинические рекомендации по диагностике и лечению хронических заболеваний вен. Флебология, 2013, 7(2): 18-20.

40. Moneta GL, Partsch H. Compression therapy for venous ulceration. In: Gloviczki P, editor. Handbook of venous disorders: guidelines of the American Venous Forum. 3rd ed. London: Hodder Arnold, 2009: 348-358.

41. Rohan CP, Badel P, Lun B, Rastel D, Avril S. Biomechanical response of varicose veins to elastic compression: a numerical study. J Biomech, 2013, 46(3): 599-603.

42. Mariani F (ed.). Compression. Consensus document based on scientific evidence and clinical experiences. Minerva Medica (Torino) 2009.

43. Partsch H. Understanding the pathophysio-logical effects of compression. In: ewma position document. Understanding compression therapy. London: Mep Ltd 2003: 2-4.

44. Partsch B, Partsch H. Calf compression pressure required to achieve venous closure from supine to standing positions. J Vasc Surg, 2005, 42: 734-738.

45. Lee BB, Nicolaides AN, Myers K, et al Venous hemodynamic changes in lower limb venous disease: the UIP consensus according to scientific evidence. Int Angiol, 2016 Jun, 35(3): 236-352. Epub 2016 Mar 24. PMID: 27013029.

46. Konschake W, Riebe H, Pediaditi P, Haase H, Jünger M, Lutze S. Compression in the treatment of chronic venous insufficiency: Efficacy depending on the length of the stocking. Clin Hemorheol Microcirc, 2016, 64(3): 425-434. doi: 10.3233/CH-168122.

47. Downie SP, Raynor SM, Firmin DN, Wood NB, Thom SA, Hughes AO, Parker KH, Wolfe YH, Xu XY. Effects of elastic compression stockings on wall shear stress in deep and superficial veins of the calf. Am J Physiol Heart Circulat Phys, 2008, 294: 5: 2112-2120.

48. Partsch B, Partsch H. New aspects of compression therapy. Wien Med Wochenschr, 2016 Jun, 166(9-10): 305-11. doi: 10.1007/s10354-016-0467-9. Epub 2016 Jun 3.

49. Кириенко А.И., Кошкин В.М., Богачев В.Ю. Амбулаторная ангиология. М.: Литтера 2007: 162-164.

50. Deutsches institut fr gtesicherung und ken-nzeichnung medizinische kompressionsstr̈mpfe RALGZ 387. Berlin: BeuthVerlag, 1987.

51. Palfreyman SJ, Michaels JA. A systematic review of compression hosiery for uncomplicated varicose veins. Phlebology, 2009, 24(suppl 1): 13-33.

52. Amsler F, Blattler W. Compression therapy for occupational leg symptoms and chronic venous disorders: a meta-analysis of ran-domized controlled trials. Eur J Vasc Endovasc Surg, 2008, 35: 366-72.

53. Vandongen YK, Stacey MC. Graduated compression stockings reduce lipodermatosclerosis and ulcer recurrence. Phlebology, 2000, 15: 33-37.

54. O’Meara S, Cullum N, Nelson EA, Dumville YC. Compression for venous leg ulcers. Cochrane Database Syst Rev, 2012, 11: CD000265.

55. Motykie GD, Caprini JA, Arcelus JI, Reyna YY, Overom E, Mokhtee D. Evaluation of therapeutic review of compression hosiery for uncomplicated varicose veins. Dermatol Surg, 1999, 25: 116-120.

56. Partsch H. Compression therapy: clinical and experimental evidence. Ann Vasc Dis, 2012, 5(4): 416-422.